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Aid, restitution and international fiscal redistribution in health care: implications of health professionals' migration


Author Info

  • Maureen Mackintosh

    (Faculty of Social Sciences, The Open University, Walton Hall, Milton Keynes, UK)

  • Kwadwo Mensah

    (Medical doctor and independent researcher, Kumasi, Ghana)

  • Leroi Henry

    (Research Fellow, Faculty of Social Sciences, The Open University, UK)

  • Michael Rowson

    (Independent consultant, London, UK)

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    High and sustained levels of migration of health professionals from labour-short health services in low-income countries to the health services of rich countries create a perverse subsidy from poor to rich, flowing across national boundaries. This subsidy worsens international inequality, and creates an obligation, both ethical and legal, for the payment of restitution. Drawing on the case of the migration of health professionals from Sub-Saharan Africa to the UK, we argue that this obligation in turn constitutes an opportunity to shift development aid relationships away from a framework of charity towards a less neo-colonial commitment to progressive international fiscal transfers. Copyright © 2006 John Wiley & Sons, Ltd.

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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Journal of International Development.

    Volume (Year): 18 (2006)
    Issue (Month): 6 ()
    Pages: 757-770

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    Handle: RePEc:wly:jintdv:v:18:y:2006:i:6:p:757-770

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    1. Karuna Gomanee & Sourafel Girma & Oliver Morrissey, 2005. "Aid, public spending and human welfare: evidence from quantile regressions," Journal of International Development, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 17(3), pages 299-309.
    2. Hickey, Sam & Bracking, Sarah, 2005. "Exploring the Politics of Chronic Poverty: From Representation to a Politics of Justice?," World Development, Elsevier, Elsevier, vol. 33(6), pages 851-865, June.
    3. Mihir A. Desai & Devesh Kapur & John McHale, 2004. "Sharing the Spoils: Taxing International Human Capital Flows," International Tax and Public Finance, Springer, Springer, vol. 11(5), pages 663-693, 09.
    4. Boadway,Robin & Shah,Anwar, 2009. "Fiscal Federalism," Cambridge Books, Cambridge University Press, Cambridge University Press, number 9780521732116.
    5. Richard Vernon, 2003. "Against Restitution," Political Studies, Political Studies Association, Political Studies Association, vol. 51, pages 542-557, October.
    6. Micklewright, John & Wright, Anna, 2004. "Private Donations for International Development," CEPR Discussion Papers, C.E.P.R. Discussion Papers 4292, C.E.P.R. Discussion Papers.
    7. Irene Hardill & Sandra Macdonald, 2000. "Skilled International Migration: The Experience of Nurses in the UK," Regional Studies, Taylor & Francis Journals, Taylor & Francis Journals, vol. 34(7), pages 681-692.
    8. Wagstaff, Adam & van Doorslaer, Eddy & van der Burg, Hattem & Calonge, Samuel & Christiansen, Terkel & Citoni, Guido & Gerdtham, Ulf-G & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "Equity in the finance of health care: some further international comparisons1," Journal of Health Economics, Elsevier, Elsevier, vol. 18(3), pages 263-290, June.
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